Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.99 / $2,446.96 / $3,757.28	Facility		$741.99	$2,446.96	$3,757.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $278.89 / $294.69	Professional		$278.89	$278.89	$294.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $863.54 / $2,499.59	Facility		$552.54	$863.54	$2,499.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $473.61 / $1,028.24	Professional		$69.92	$473.61	$1,028.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.28 / $1,077.46 / $1,358.79	Facility		$547.28	$1,077.46	$1,358.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $604.63 / $755.79	Professional		$604.63	$604.63	$755.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $473.61 / $578.85 / $920.90	Facility		$473.61	$578.85	$920.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $789.35 / $1,447.13	Facility		$526.23	$789.35	$1,447.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.30 / $552.54 / $747.25	Professional		$447.30	$552.54	$747.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $863.54 / $1,447.13	Facility		$552.54	$863.54	$1,447.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.67 / $526.23 / $1,420.05	Professional		$394.67	$526.23	$1,420.05
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $221.02 / $526.23	Professional		$221.02	$221.02	$526.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $236.80 / $272.58	Professional		$236.80	$236.80	$272.58